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1750498754
JASON GOURLAS
SAN ANTONIO, TX
NPI
1750498754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA01671)
Enumeration Date
2006-08-24
Last Update Date
2014-10-29
Business Address
JASON GOURLAS PA
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-358-2078
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Mailing Address
JASON GOURLAS PA
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-358-2078
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